症状性颅内动脉狭窄血管内支架成形术围术期的护理  

Perioperative nursing symptomatic intracranial arterial stenosis intravascular stent

作　　者：王丹玲[1] 赵丽萍[1] 陶英群[1] 

机构地区：[1]沈阳军区总医院神经外科,辽宁沈阳110840

出　　处：《中国医药导报》2013年第22期156-157,160,共3页China Medical Herald

基　　金：辽宁省第一批科学技术项目(编号2011225021)

摘　　要：目的探究并分析症状性颅内动脉狭窄血管内支架成形术围术期的护理措施。方法选取2011年5月～2012年5月沈阳军区总医院收治的症状性颅内动脉狭窄患者100例,将其作为临床研究对象,将上半年收治的患者作为对照组,下半年收治的患者作为观察组,每组均50例。对照组采取常规护理,观察组在常规护理基础上再行护理风险干预,观察两组患者术中护理不良事件的发生及术后护理并发症情况,采取抑郁自评量表(SDS)、焦虑自评量表(SAS)等评定工具对患者护理前后的焦虑、抑郁情况进行评分,并记录数据。结果围术期间采取护理风险干预的患者术中不良事件的发生率为4.00%,明显低于对照组;两组患者护理后的SAS[(20.7±7.8)分]及SDS[(21.5±5.9)分]评分较护理前SAS[(40.9±4.9)分]及SDS[(41.7±5.6)分]评分明显降低,且对照组患者护理后并发症的发生率为30.00%,明显高于观察组并发症发生率(6.00%),差异有统计学意义(P<0.05)。结论护理风险干预护理措施在症状性颅内动脉狭窄血管内支架成形术中具有很重要的价值,明显减少了护理中不安全因素发生的可能性,值得在临床上广泛应用。Objective To investigate and analyze the symptomatic intracranial arterial stenosis intravascular stent peri operative care measures.Methods From May 2011 to May 2012 in General Hospital of Shenyang Military Region,100 patients with symptomatic intracranial arterial stenosis were chosen for a clinical study,patients admitted in the first half were chosen as the control group treated in the second half of the patients were chosen as the observation group,each group had 50 cases.Control group were taken routine care,observation group on the basis of routine care nursing were given the risk intervention,two groups of patients in the care of adverse events and complications of post-opera tive care were observed,the self-rating depression scale（SDS） and Anxiety Rating Scale（SAS） assessment tools such as anxiety,depression of patient care before and after the score were taken,and data were recorded.Results The occurrence of adverse events in perioperative period to take care risk intervention patients was 4.00%,which was signifi cantly lower than that of the control group;the SAS in the care of the two groups of patients [（20.7 ±7.8） scores] and SDS [（21.5±5.9） scores] were significantly lower than the SAS [（40.9 ±4.9） scores] and SDS [（41.7±5.6） scores] before caring,and the care complications for control group patient was 30.00%,which was significantly higher than the com plication rate of 6.00% for the observation group,with statistical significance（P 0.05）.Conclusion The risk of nursing care intervention measures stenting in symptomatic intracranial arterial stenosis has a very important value,and can significantly reduce the likelihood of insecurity care,it is worthy widely used in clinical practice.

关 键 词：症状性颅内动脉狭窄 血管内支架成形术 围术期 护理 

分 类 号：R743[医药卫生—神经病学与精神病学]